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Abstract(s)
A fenda labial (FL), fenda palatina (FP) e fenda lÔbio-palatina (FLP) estão entre as malformações craniofaciais congénitas mais comuns com uma incidência mundial estimada em cerca de 1 em cada 1.500 a 2.000 nascimentos para a FP, e 1 em cada 700 a 1.000 nascimentos para FLP.
As fendas orofaciais podem ocorrer isoladamente ou associadas a outras sĆndromes ou anomalias congĆ©nitas, tais como defeitos cardĆacos, hidrocefalia e anomalias do trato urinĆ”rio.
Nas últimas décadas, surgiram vÔrias ferramentas de avaliação para auxiliar o estudo e classificação de fendas orofaciais. De entre estas, destacam-se por serem modalidades de pesquisa bidimensionais vitais na avaliação do crescimento e malformações craniofaciais: a fotografia e a radiografia cefalométrica lateral e frontal.
Nas últimas duas décadas, surgiram tecnologias tridimensionais, como a tomografia computorizada de feixe cónico, laser scanners, e estereofotogrametria e métodos quadridimensionais, capazes de reproduzir modelos precisos dos tecidos duros e/ou moles da face.
O objetivo desta revisĆ£o narrativa foi atualizar as ferramentas, tĆ©cnicas e mĆ©todos auxiliares de diagnóstico na recolha de dados em fissuras orofaciais, com ĆŖnfase na etiologia e tĆ©cnicas de aquisição de dados imagiológica. Foi realizada uma abordagem baseada na evidĆŖncia e a avaliação crĆtica de literatura relevante nas lĆnguas Inglesa e Portuguesa entre os anos de 1990-2022, com referĆŖncia a alguma literatura histórica
relevante anterior a esta data. Foram consultados diversos mecanismos de busca como Google Scholar, Pubmed, e Scielo e livros relevantes sobre o assunto.
Cleft lip, cleft palate and cleft lip and palate are among the most common congenital craniofacial malformations with an estimated worldwide incidence of about 1 in 1500 to 2000 births for Cleft Palate, and 1 in 700 to 1,000 births for Cleft Lip and Palate. Orofacial clefts can be observed as an isolated deformity or associated with other syndromes or congenital anomalies, such as heart defects, hydrocephalus, and urinary tract anomalies. Over the last decades, several assessment tools have evolved to aid in the study and evaluation of orofacial clefts. Among these, photography, lateral and frontalcephalometric radiography stand out for being vital 2D research modalities in the assessment of growth and craniofacial malformations. Over the two last decades, 3D technologies have emerged, such as computed axial tomography, cone beam computed tomography, and stereophotogrammetry and 4D methods, capable of reproducing models of the hard and/or soft tissues of the face. The aim of this literature review was to update the new tools, techniques and auxiliary diagnostic methods in data acquisition on orofacial clefts with emphasis on its etiology and data acquisition techniques such as imaging. Evidence based approach and critical appraisal of the relevant literature in English and Portuguese languages between the years 1990-2022 were performed with reference to some relevant historical literature prior to this date. Several search engines were consulted such as Google Scholar, Pubmed and Scielo and relevant books on the subject.
Cleft lip, cleft palate and cleft lip and palate are among the most common congenital craniofacial malformations with an estimated worldwide incidence of about 1 in 1500 to 2000 births for Cleft Palate, and 1 in 700 to 1,000 births for Cleft Lip and Palate. Orofacial clefts can be observed as an isolated deformity or associated with other syndromes or congenital anomalies, such as heart defects, hydrocephalus, and urinary tract anomalies. Over the last decades, several assessment tools have evolved to aid in the study and evaluation of orofacial clefts. Among these, photography, lateral and frontalcephalometric radiography stand out for being vital 2D research modalities in the assessment of growth and craniofacial malformations. Over the two last decades, 3D technologies have emerged, such as computed axial tomography, cone beam computed tomography, and stereophotogrammetry and 4D methods, capable of reproducing models of the hard and/or soft tissues of the face. The aim of this literature review was to update the new tools, techniques and auxiliary diagnostic methods in data acquisition on orofacial clefts with emphasis on its etiology and data acquisition techniques such as imaging. Evidence based approach and critical appraisal of the relevant literature in English and Portuguese languages between the years 1990-2022 were performed with reference to some relevant historical literature prior to this date. Several search engines were consulted such as Google Scholar, Pubmed and Scielo and relevant books on the subject.
Description
Dissertação para obtenção do grau de Mestre no Instituto UniversitÔrio Egas Moniz
Keywords
Fendas orofaciais Fenda lƔbio-palatina LƔbio leporino